Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $115.29 / $253.02	Facility		$36.26	$115.29	$253.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $23.01 / $38.57	Professional		$20.05	$23.01	$38.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $63.29 / $183.21	Facility		$40.50	$63.29	$183.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $34.71 / $62.87	Professional		$15.43	$34.71	$62.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $62.17 / $97.31	Facility		$20.51	$62.17	$97.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $44.19 / $55.24	Professional		$20.20	$44.19	$55.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $42.43 / $57.86	Facility		$38.57	$42.43	$57.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $57.86 / $106.07	Facility		$38.57	$57.86	$106.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $40.50 / $54.77	Professional		$32.78	$40.50	$54.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $63.29 / $104.14	Facility		$40.50	$63.29	$104.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $38.57 / $104.19	Professional		$28.93	$38.57	$104.19
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $38.57	Professional		$16.20	$16.20	$38.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $17.36 / $19.98	Professional		$17.36	$17.36	$19.98